Page 186 - Saunders Comprehensive Review For NCLEX-RN

Reference: Potter et al. (2017), p. 308.

25. Answer: 2

Rationale: Defamation is a false communication or a careless disregard for the
truth that causes damage to someone’s reputation, either in writing (libel) or
verbally (slander). An assault occurs when a person puts another person in fear of a
harmful or offensive contact. Negligence involves the actions of professionals that
fall below the standard of care for a specific professional group.
Test-Taking Strategy: Note the subject, the legal tort that was violated. Focus on
the data in the question and eliminate options 3 and 4 first because their definitions
are unrelated to the data. Recalling that slander constitutes verbal defamation will
direct you to the correct option from the remaining options.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: N/A
Priority Concepts: Health Care Law; Professionalism
Reference: Potter et al. (2017), pp. 308-309.

26. Answer: 4

Rationale: The nurse must report situations related to child or elder abuse,
gunshot wounds and other criminal acts, and certain infectious diseases.
Confidential issues are not to be discussed with nonmedical personnel or the client’s
family or friends without the client’s permission. Clients should be assured that
information is kept confidential, unless it places the nurse under a legal obligation.
Options 1, 2, and 3 do not address the legal implications of the situation and do not
ensure a safe environment for the client.
Test-Taking Strategy: Note the strategic words, most appropriate. Focus on the data
in the question and note that an older woman is receiving physical abuse by her
son. Recall the nursing responsibilities related to client safety and reporting
obligations. Options 1, 2, and 3 should be eliminated because they are comparable or
alike in that they do not protect the client from injury.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process—Implementation
Content Area: Leadership/Management: Ethical/Legal
Health Problem: Mental Health: Abusive Behaviors
Priority Concepts: Health Care Law; Interpersonal Violence
References: Potter et al. (2017), pp. 35, 188-189.

27. Answer: 1

Rationale: If the PHCP writes a prescription that requires clarification, the nurse’s
responsibility is to contact the PHCP. If there is no resolution regarding the

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